While providing a complete bed bath to a client, the nurse discovers a

While providing a complete bed bath to a client, the nurse discovers abrasions along the client’s back and upper buttock area. What should the nurse do to help this client?

1. Apply antiseptic spray to the abrasions.
2. Do not wash the client with soap.
3. Find assistance to help with the remainder of the bath.
4. Apply alcohol-free lotion to the abrasions.

ANSWER

Correct Answer: 3
Rationale 1: Applying antiseptic spray would be applicable for areas of erythema but not for abrasions.
Rationale 2: Avoiding soap would be applicable for excessively dry skin.
Rationale 3: Because the client has abrasions over the back and upper buttock area, the nurse should lift and not pull or slide the client. The nurse needs to find assistance to help with the remainder of the bath.
Rationale 4: Applying alcohol-free lotion would be applicable for excessively dry skin but not for abrasions.